Individual
JIM PATRICK GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 762-1353
(228) 762-1359
Mailing address
1365 MARKET ST, C/O LUJEAN TRUMBLE, PASCAGOULA, MS 39567-6604
(228) 762-1353
(228) 762-1359
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19376
MS
2085R0202X
Diagnostic Radiology Physician
35-095944
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001689087
—
MS
Enumeration date
07/21/2006
Last updated
04/14/2014
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